Active NPI
Crystal Jeannette Williams, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1639953359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 9401 Southwest Fwy
Houston, TX 77074-1407 - Phone
- (713) 970-7000
- Fax
- (713) 970-7246
- NPI assigned
- Aug 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
9401 Southwest Fwy
Houston, TX 77074-1407
Mailing address
9401 Southwest Fwy
Houston, TX 77074-1407
Other practice location 1
2225 County Road 90 Ste 219
Pearland, TX 77584-5111
Phone (832) 916-4416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Gulf Coast Center | Current | Accepting new patients | |
| Pure Bliss Counseling PLLC | Past | Accepting new patients |
Locations
4444 W Main St
League City, TX 77573
7510 FM 1765
Texas City, TX 77591
Phone (409) 935-6083
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- League City, TX
- NPI 1245285899
-
- Mental Health Counselor
- Pearland, TX
- NPI 1093467318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1639953359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 SOUTHWEST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 SOUTHWEST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741407",
"telephone_number": "713-970-7000",
"fax_number": "713-970-7246"
}
],
"practiceLocations": [
{
"address_1": "2225 County Road 90 Ste 219",
"address_purpose": "LOCATION",
"city": "Pearland",
"state": "TX",
"postal_code": "775845111",
"country_code": "US",
"telephone_number": "832-916-4416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CRYSTAL",
"middle_name": "JEANNETTE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-23",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.